全院血糖管理对非内分泌科住院患者的应用价值  

Application value of whole hospital blood glucose management to non department of endocrinology inpatients

作　　者：田勇[1] 董其娟 于江红[1] 杨敬随 杨雪[1] 姜芳 胡涓 TIAN Yong;DONG Qijuan;YU Jianghong;YANG Jingsui;YANG Xue;JIANG Fang;HU Juan(Dept. of Endocrinology,People's Hospital of Zhengzhou,Zhengzhou 450053,Henan,China)

机构地区：[1]郑州人民医院内分泌科

出　　处：《武汉大学学报（医学版）》2019年第1期125-129,共5页Medical Journal of Wuhan University

基　　金：河南省科技发展计划项目(编号:172102310024)

摘　　要：目的:分析全院血糖管理模式对非内分泌科住院患者血糖控制效果的影响,为非内分泌科具有糖尿病高危因素的患者血糖管理模式优化提供参考。方法:选择我院2015年3月-2016年3月非内分泌科住院患者800例作为对照组,所有患者均按照收治科室及病种临床路径进行治疗。选择2016年5月-2017年4月收治的非内分泌科住院患者800例作为观察组,所有患者均经糖尿病高危因素筛查,符合纳入全院血糖管理模式者均由内分泌科参与设置患者血糖管理流程并协助实施患者的血糖控制管理,对患者进行风险评估及血糖监测、降糖方案、医嘱开具进行指导,非内分科和内分泌科间的联系工作由全院血糖管理联络护士执行。比较两组患者实际住院时间、治疗费用与临床路径中明确的住院时间、治疗费用间的差异及两组间实际住院时间、治疗费用差异,比较两组患者切口愈合时间、患者对治疗满意率,两组患者中高血糖患者血糖达标时间。综合评价全院血糖管理模式对非内分泌科住院患者的应用价值。结果:两组患者性别、年龄、体重、体质量指数(BMI)、糖尿病高危因素占比情况、疾病类别、治疗方式、手术治疗患者手术时间、临床路径明确的平均住院时间及费用比较差异无统计学意义(P>0.05)。观察组患者实际住院时间、治疗费用明显低于临床路径明确及对照组患者的住院时间与费用(P<0.05),对照组实际住院时间和费用与临床路径确定时间与费用差异无统计学意义(P>0.05)。观察组中手术治疗患者手术切口愈合时间明显短于对照组、高血糖患者血糖达标时间明显短于对照组患者、患者对治疗满意率明显高于对照组(P<0.05)。结论:全院血糖管理模式对于非内分泌科住院患者血糖管理效果较常规路径治疗患者具有明显的优势,提升了患者治疗质量、降低患者住院时间和费用,具有Objective: To analyze the effect of the whole hospital blood glucose management model on the blood glucose control in non department of endocrinology inpatients, and to provide reference for the optimization of blood glucose management mode in non department of endocrinology patients with high risk factors of diabetes. Methods: Eight hundred cases of non department of endocrinology patients in our hospital from March 2015 to March 2016 were selected as the control group, all the patients were treated according to the clinical pathway of the department and the diseases. Another 800 non department of endocrinology inpatients admitted from May 2016 to April 2017 were selected asthe observation group, all patients were screened by the high risk factors of diabetes, and were included in the whole hospital blood glucose management model including in setting the patient’s blood glucose management process and assisting the patients’ blood glucose control management. Blood glucose monitoring, hypoglycemic protocol and medical advice were evaluated, and the communication work between non internal departments and department of endocrinology was carried out by the blood sugar management nurse. The actual time of hospitalization, the treatment cost, the clinical path of the hospital time, incision healing time, patient satisfaction rate, duration of glycemic controlling,etc., were compared between the two groups. The application value of the whole hospital blood glucose management mode were evaluated to non Department of Endocrinology inpatients. Results: There were no significant differences between the two groups(P>0.05) in the sex, age, weight, body mass index(BMI), ratio of the high risk factors of diabetes, type of disease, mode of treatment, operation time of the surgical treatment, average time of hospitalization, and cost of the clinical path. The actual hospitalization time and treatment cost of the patients in the observation group were obviously less than those in the control group(P<0.05). In control group, no

关 键 词：非内分泌科住院患者 全院血糖管理模式 糖尿病高危因素 血糖控制 

分 类 号：R493[医药卫生—康复医学]